Вы находитесь на странице: 1из 2

Educo Scarl /Associazione Culturale Linguistica Educational

Accreditata dal M.P.I. Prot. n° 1011, 23 giugno 2006


Address: Via Roma 54, 18038, Sanremo (IM), Italy – Telephone: +39 0184 506070
www.acle.org – info@theatrino.com

Office use only.


Year for which applying__________ Received on_______________
Notes: _________________________________________________________________________________________
______________________________________________________________________________________________

Please ensure the following are included with your application:


Your CV/resume
Recent headshot photos, including one passport sized picture
A copy of the details page of your passport
A copy of your driver’s license (if applicable)
Two references or completed ACLE reference forms
Video link/video file/DVD (EU compatible) showreel, (if you are unable to attend an audition in London)

Please print clearly


If the below spaces are not sufficient, please use additional sheets of paper.
First Name(s) Abigail Surname Brazier
Stage Name Abigail Brazier Nationality American
Gender Female Age 19 Date of birth 25/05/1998
E-mail address (dd/mm/yyyy)
Current address 29 Hawthorne Street South Permanent address Same as current address
Unit A
Greenwich, CT 06831

Home tel. number none Mobile tel. number +1 2036218003


(incl. country code) (incl. country code)
Emergency contact’s Stacey Brazier- mother Emergency contact’s +1 2032803600
name and relation to tel. number (incl. country code)
you
Please highlight in order of preference, from 1-4, which 1. Standard Tour
Theatrino tour/s you are applying for. For those you 2. Sketches and Workshop Tour
would not like to be considered for please write Not 3. Storytelling Tour
Applicable. 4. Pop Music and Culture Tour – not applicable
Do you hold an No; currently in process of Passport number
EU/UK passport or obtaining passport. Issuing Country
work visa? Expiry date
(please specify and (dd/mm/yyyy)
include a copy)
Do you hold a full, clean driver’s Yes If yes, do you drive manual, automatic Manual
license? or both?
Expiry date Are you happy to Yes! 
(dd/mm/yyyy) drive in Italy?
National Insurance or Social Security number 595-75-7544
Can you speak 0 Do you smoke? no
Italian? (rate 0-10) (yes / socially / no)
Do you have a No If accepted, you will be required to yes
criminal record? personally obtain a criminal record
check and provide us with the
certificate. Please answer ‘yes’ to
confirm you would be able to arrange
(please specify) this.
Are you applying No Would you accept Yes
with a friend? the job without
them?
Have you worked for No Have you applied to No
ACLE previously? work with ACLE
(please specify) before? (please specify)
Do you have any No Between what dates Start 01/01/2018
medical problems are you able to (dd/mm/yyyy)
that could affect work? End 31/12/2018
your performance? (please be specific) (dd/mm/yyyy)

Have you Yes; List any


had any experience
formal with
training? children.

List any List any


experience experience
in Theatre running
in workshops.
Education.
Have you travelled No (currently in process of Describe yourself in
and worked abroad obtaining passport) three words.
before?
(please specify)
What strengths What are your main
could you bring to weaknesses?
this job?

Explain how you What interests you


would cope living, most about this job?
working, socialising
and travelling with
your group.
Do you play any All models of saxophone- Are you a confident Yes 
musical intermediate singer?
instruments? How did you hear Referred by friend and fellow artist
about this position? Margot Bergeron, who recently
(please specify and rate ability) worked with ACLE.
(please specify)
Remember to include the required materials, specified above, alongside this application form.
I certify that all of the above information is true and correct.
Signature: Abigail Brazier Date: 03/10/2017
(dd/mm/yyyy)

Вам также может понравиться